Individual
MRS. MARIE LOUISE HERSHFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4812 21ST AVE SE, LACEY, WA 98503-7029
(715) 697-0884
Mailing address
4812 21ST AVE SE, LACEY, WA 98503-7029
(715) 697-0884
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
60803173
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069994
—
WI
Enumeration date
08/04/2017
Last updated
07/21/2022
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